Organization
MYRON F SHUSTER DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON SHUSTER (PRESIDENT)
(502) 451-1020
Entity
Organization
Contact information
Practice address
3101 BRECKENRIDGE LN STE 4B, LOUISVILLE, KY 40220-2797
(502) 451-1020
Mailing address
3101 BRECKENRIDGE LN STE 4B, LOUISVILLE, KY 40220-2797
(502) 451-1020
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4639
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60046398
—
KY
Enumeration date
03/03/2016
Last updated
03/03/2016
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